This provider's $14.8M in total Medicare payments ranks in the 99th percentile of Dermatology providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 57% in 2021
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $744.35 | $346.08 | 2.15x | $398.27 | $1.5M | 4.0K | 3.4K |
| 2015 | $776.21 | $357.33 | 2.17x | $418.88 | $1.9M | 5.0K | 4.1K |
| 2016 | $676.43 | $265.33 | 2.55x | $411.10 | $1.4M | 4.0K | 3.6K |
| 2017 | $958.66 | $350.03 | 2.74x | $608.63 | $1.2M | 3.3K | 2.9K |
| 2018 | $800.19 | $287.17 | 2.79x | $513.02 | $1.3M | 3.8K | 3.3K |
| 2019 | $682.03 | $263.77 | 2.59x | $418.26 | $1.2M | 3.6K | 3.2K |
| 2020 | $798.68 | $308.65 | 2.59x | $490.03 | $1.1M | 3.1K | 2.8K |
| 2021 | $757.70 | $261.28 | 2.90x | $496.42 | $1.7M | 4.8K | 4.2K |
| 2022 | $807.53 | $266.89 | 3.03x | $540.64 | $1.8M | 5.3K | 4.6K |
| 2023 | $792.84 | $262.54 | 3.02x | $530.30 | $1.6M | 4.7K | 4.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 17311 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (first stage, up to 5 tissue blocks) | 12.3K | $5.5M | $447.05 | 2.74x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 6.0K | $2.0M | $328.78 | 2.24x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 3.5K | $1.6M | $461.49 | 2.49x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 4.3K | $873.9K | $205.23 | 4.43x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 1.3K | $821.9K | $636.62 | 2.24x |
| 14040 | Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 1.3K | $782.4K | $625.91 | 2.25x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 2.5K | $510.0K | $204.74 | 3.90x |
| 14041 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 547 | $419.9K | $767.67 | 2.27x |
| 17314 | Removal and microscopic examination of growth of the trunk, arms, or legs | 1.2K | $383.8K | $313.01 | 2.20x |
| 14020 | Tissue transfer repair of wound (10 sq centimeters or less) of the scalp, arms, and/or legs | 571 | $327.1K | $572.91 | 2.18x |
| 14021 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs | 452 | $323.7K | $716.14 | 2.18x |
| 14061 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of eyelids, nose, ears, and/or lips | 286 | $236.9K | $828.31 | 2.22x |
| 15260 | Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less) | 237 | $195.6K | $825.28 | 2.19x |
| 13101 | Repair of wound (2.6 to 7.5 centimeters) of trunk | 792 | $179.3K | $226.33 | 3.13x |
| 13152 | Repair of wound (2.6 to 7.5 centimeters) of eyelids, nose, ears, and/or lips | 650 | $139.9K | $215.20 | 4.19x |
| 12032 | Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 738 | $128.9K | $174.60 | 3.40x |
| 14301 | Tissue transfer repair of wound (30.1 to 60.0 sq centimeters) | 56 | $50.0K | $892.48 | 2.31x |
| 11603 | Removal of malignant growth (2.1 to 3.0 centimeters) of the trunk, arms, or legs | 394 | $48.1K | $122.17 | 4.61x |
| 12052 | Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth | 239 | $34.7K | $145.25 | 4.21x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 625 | $24.6K | $39.30 | 2.38x |
This provider submits charges 2.71 times higher than what Medicare actually pays.
A markup ratio of 2.71x means for every $100 Medicare pays, this provider initially charges $271. This is higher than the national average.
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Last Updated: February 2026 (data through 2023, the latest CMS release)
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.
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